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公开(公告)号：US07785269B2
公开(公告)日：2010-08-31
申请号：US11128108
申请日：2005-05-12
IPC分类号： A61B10/00
CPC分类号： A61B1/00133 , A61B2017/00398 , A61M25/0113 , A61M25/0136 , A61M25/09 , A61M25/09041 , A61M2025/09183
摘要： A first medical instrument includes a flexible catheter and a medical guidewire extendable beyond a distal end of the catheter. The catheter is adapted to slidably receive a rail-coupling portion of an adjunct medical device. The medical guidewire has first and second segments, wherein the bending moment of inertia of the first segment is less than the bending moment of inertia of the second segment. A second medical instrument includes a flexible catheter, a mechanized guidewire assembly, and a medical guidewire extendable beyond a distal end of the catheter. The catheter is adapted to slidably receive a rail-coupling portion of an adjunct medical device. The medical guidewire has an exterior surface including a repetitive series of spaced-apart surface elevation features. One example of surface elevation features is external threads. The spaced-apart surface elevation features are adapted for operable engagement with the mechanized guidewire drive assembly.
摘要翻译： 第一医疗器械包括柔性导管和可延伸超过导管远端的医疗导丝。 导管适于可滑动地容纳辅助医疗装置的轨道联接部分。 医疗用导线具有第一和第二部分，其中第一部分的弯曲转动惯量小于第二部分的弯曲转动惯量。 第二医疗器械包括柔性导管，机械化导丝组件和可延伸超过导管远端的医疗导丝。 导管适于可滑动地容纳辅助医疗装置的轨道联接部分。 医疗导丝具有包括重复的一系列间隔开的表面高度特征的外表面。 表面高程特征的一个例子是外部线程。 间隔开的表面高度特征适于与机械化的导丝驱动组件可操作地接合。
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公开(公告)号：US07615005B2
公开(公告)日：2009-11-10
申请号：US10440957
申请日：2003-05-16
申请人： David Stefanchik , Duane A. Linenkugel , Gregory J. Bakos , Omar J. Vakharia , James A. Craft , Kurt R. Bally
发明人： David Stefanchik , Duane A. Linenkugel , Gregory J. Bakos , Omar J. Vakharia , James A. Craft , Kurt R. Bally
IPC分类号： A61B1/00
CPC分类号： A61B1/012 , A61B1/00073 , A61B1/00135 , A61B1/0014
摘要： A guide system for use with an endoscope, and a method of use is disclosed. The guide system can include a track, in the form of a rail, and a mating member for engaging the rail. The guide system can also include an accessory, such as an accessory guide tube through which a medical instrument can be carried external of the endoscope. An end cap can be provided to support the track relative to the distal end of the endoscope.
摘要翻译： 公开了一种用于内窥镜的引导系统和使用方法。 引导系统可以包括轨道形式的轨道和用于接合轨道的配合构件。 引导系统还可以包括诸如附件引导管的附件，医疗器械可以通过附件引导管承载在内窥镜的外部。 可以设置端盖以相对于内窥镜的远端支撑轨道。
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公开(公告)号：US20090192344A1
公开(公告)日：2009-07-30
申请号：US12019461
申请日：2008-01-24
申请人： Gregory J. Bakos , Christie Mrie Cunningham , Kendall Lee Dobler , William D. Fox , Christopher J. Hess , Gary L. Long , Rudolph Henry Nobis , Carl J. Shurtleff , James T. Spivey , David Stefanchik , Michael J. Stokes , Omar J. Vakharia , James W. Voegele
发明人： Gregory J. Bakos , Christie Mrie Cunningham , Kendall Lee Dobler , William D. Fox , Christopher J. Hess , Gary L. Long , Rudolph Henry Nobis , Carl J. Shurtleff , James T. Spivey , David Stefanchik , Michael J. Stokes , Omar J. Vakharia , James W. Voegele
CPC分类号： A61B17/0218 , A61B17/0401 , A61B17/30 , A61B17/3478 , A61B34/73 , A61B2017/00876 , A61B2017/0464 , A61B2017/2926 , A61B2017/306
摘要： A surgical kit can be used to manipulate tissue within the body of a patient to create a working space within the body to allow a surgeon to easily access and work within the body using various surgical instruments. A surgical kit can include an implant comprised of a magnetic material which can be engaged with tissue within the body. The kit can further include a surgical instrument having a magnet which can be used to manipulate the implant and tissue engaged therewith. A surgical kit can include an anchor and a hanger configured to engage tissue at different locations within the body and a connection member engaged with the anchor and the hanger such that the connection member can be pulled to move the anchor toward the hanger. A surgical instrument which utilizes a vacuum provided to one or more movable members can also be used to manipulate tissue.
摘要翻译： 手术套件可用于操纵患者身体内的组织以在身体内产生工作空间，以允许外科医生使用各种手术器械容易地进入身体内并进行工作。 手术套件可以包括由可与身体内的组织接合的磁性材料构成的植入物。 该套件还可以包括具有磁体的手术器械，其可用于操纵植入物和与其接合的组织。 手术套件可以包括锚固件和悬挂器，其构造成在主体内的不同位置处接合组织，以及与锚固件和悬挂器接合的连接构件，使得连接构件可以被拉动以将锚移向吊架。 使用提供给一个或多个可移动部件的真空的手术器械也可用于操纵组织。
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公开(公告)号：US07815565B2
公开(公告)日：2010-10-19
申请号：US10440956
申请日：2003-05-16
申请人： David Stefanchik , Duane Linenkugel , Gregory J. Bakos , Omar J. Vakharia , James A. Craft , Kurt R. Bally
发明人： David Stefanchik , Duane Linenkugel , Gregory J. Bakos , Omar J. Vakharia , James A. Craft , Kurt R. Bally
IPC分类号： A61B1/04
CPC分类号： A61B1/012 , A61B1/00073 , A61B1/00135 , A61B1/0014
摘要： A guide system for use with an endoscope, and a method of use is disclosed. The guide system can include a track, in the form of a rail, and a mating member for engaging the rail. The guide system can also include an accessory, such as an accessory guide tube through which a medical instrument can be carried external of the endoscope. An end cap can be provided to support the track relative to the distal end of the endoscope.
摘要翻译： 公开了一种用于内窥镜的引导系统和使用方法。 引导系统可以包括轨道形式的轨道和用于接合轨道的配合构件。 引导系统还可以包括诸如附件引导管的附件，医疗器械可以通过附件引导管承载在内窥镜的外部。 可以设置端盖以相对于内窥镜的远端支撑轨道。
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公开(公告)号：US20130085494A1
公开(公告)日：2013-04-04
申请号：US13250272
申请日：2011-09-30
CPC分类号： A61B17/29 , A61B17/0469 , A61B17/062 , A61B18/085 , A61B18/1445 , A61B2017/2926 , A61B2017/2938 , A61B2017/2945
摘要： Methods and devices are provided utilizing an end effector having three jaws movably coupled thereto for grasping and/or dissecting tissue. In one embodiment, each of the three jaws are movable between an open position in which the distal ends of the three jaws are spaced apart from one another, and a closed position in which the distal ends directly contact one another. The jaws can define an opening therebetween when the jaws are in the closed position.
摘要翻译： 使用具有可移动地联接到其上的三个钳口的端部执行器来提供方法和装置，以用于抓握和/或解剖组织。 在一个实施例中，三个钳口中的每一个可以在三个钳口的远端彼此间隔开的打开位置和闭合位置之间移动，其中远端彼此直接接触。 当夹爪处于关闭位置时，夹爪可以在其间限定开口。
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公开(公告)号：US07431694B2
公开(公告)日：2008-10-07
申请号：US10440660
申请日：2003-05-16
申请人： David Stefanchik , Duane Linenkugel , Gregory J. Bakos , Omar J. Vakharia , James A. Craft , Kurt R. Bally
发明人： David Stefanchik , Duane Linenkugel , Gregory J. Bakos , Omar J. Vakharia , James A. Craft , Kurt R. Bally
IPC分类号： A61B1/00
CPC分类号： A61B1/012 , A61B1/00073 , A61B1/00135 , A61B1/0014
摘要： A guide system for use with an endoscope, and a method of use is disclosed. The guide system can include a track, in the form of a rail, and a mating member for engaging the rail. The guide system can also include an accessory, such as an accessory guide tube through which a medical instrument can be carried external of the endoscope. An end cap can be provided to support the track relative to the distal end of the endoscope.
摘要翻译： 公开了一种用于内窥镜的引导系统和使用方法。 引导系统可以包括轨道形式的轨道和用于接合轨道的配合构件。 引导系统还可以包括诸如附件引导管的附件，医疗器械可以通过附件引导管承载在内窥镜的外部。 可以设置端盖以相对于内窥镜的远端支撑轨道。
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公开(公告)号：US20090112063A1
公开(公告)日：2009-04-30
申请号：US11981134
申请日：2007-10-31
CPC分类号： A61B1/00078 , A61B1/00135 , A61B1/0052
摘要： An overtube for use with an endoscopic surgical instrument. In various embodiments, the overtube may comprise a substantially flexible helically wound continuous member forming a series of helical coils that define a hollow passage sized to receive a portion of the endoscopic surgical instrument therethrough. The coils may be configured to selectively interlock with each other to stiffen the overtube. An actuation system may be employed to steer the overtube and selectively stiffen it. Some embodiments include a second substantially flexible helically wound member that may be selectively wound between the first substantially flexible helically wound member or segments thereof.
摘要翻译： 用于内镜手术器械的外套管。 在各种实施例中，外套管可以包括形成一系列螺旋线圈的基本上柔性的螺旋形缠绕的连续构件，所述螺旋线圈限定了尺寸适于容纳内窥镜手术器械的一部分的中空通道。 线圈可以被配置为选择性地互锁以加强外套管。 可以使用致动系统来引导外套管并选择性地加强它。 一些实施例包括可以选择性地缠绕在第一基本上柔性的螺旋形缠绕构件或其段之间的第二基本柔性的螺旋缠绕构件。
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公开(公告)号：US09168051B2
公开(公告)日：2015-10-27
申请号：US13250272
申请日：2011-09-30
CPC分类号： A61B17/29 , A61B17/0469 , A61B17/062 , A61B18/085 , A61B18/1445 , A61B2017/2926 , A61B2017/2938 , A61B2017/2945
摘要： Methods and devices are provided utilizing an end effector having three jaws movably coupled thereto for grasping and/or dissecting tissue. In one embodiment, each of the three jaws are movable between an open position in which the distal ends of the three jaws are spaced apart from one another, and a closed position in which the distal ends directly contact one another. The jaws can define an opening therebetween when the jaws are in the closed position.
摘要翻译： 使用具有可移动地联接到其上的三个钳口的端部执行器来提供方法和装置，以用于抓握和/或解剖组织。 在一个实施例中，三个钳口中的每一个可以在三个钳口的远端彼此间隔开的打开位置和闭合位置之间移动，其中远端彼此直接接触。 当夹爪处于关闭位置时，夹爪可以在其间限定开口。
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公开(公告)号：US07967741B2
公开(公告)日：2011-06-28
申请号：US11742948
申请日：2007-05-01
申请人： Gregory J. Bakos , Christie M. Cunningham , David Stefanchik , James W. Voegele , Michael J. Stokes , Christopher J. Hess , James T. Spivey , Gary L. Long , Kurt R. Bally , Ragae M. Ghabrial , Rudolph H. Nobis
发明人： Gregory J. Bakos , Christie M. Cunningham , David Stefanchik , James W. Voegele , Michael J. Stokes , Christopher J. Hess , James T. Spivey , Gary L. Long , Kurt R. Bally , Ragae M. Ghabrial , Rudolph H. Nobis
CPC分类号： A61B1/01 , A61B1/00147 , A61B5/6882 , A61B17/0401 , A61B2017/00292 , A61B2017/00336
摘要： Various exemplary methods and devices are provided for manipulating and/or anchoring devices and body parts during surgical procedures. In one embodiment, an anchor member is provided for anchoring a device or body part to tissue, such as an internal wall of a body cavity. The device can be, for example, an endoscopic device, an accessory channel coupled to an endoscopic device, or a support member adapted to support or manipulate an organ. The anchor member can include or form an opening through which the device can be inserted. The anchor member or device can thus be manipulated relative to the tissue to control movement of and/or provide support to the device, tools inserted through the device, and/or organs grasped by the device or tools.
摘要翻译： 提供各种示例性的方法和装置用于在外科手术过程中操纵和/或锚定装置和身体部位。 在一个实施例中，提供锚定构件用于将装置或身体部分锚定到组织，例如体腔的内壁。 该装置可以是例如内窥镜装置，耦合到内窥镜装置的附件通道或适于支撑或操纵器官的支撑构件。 锚定构件可以包括或形成开口，通过该开口可以插入装置。 锚定构件或装置因此可以相对于组织被操纵以控制装置的移动和/或提供对装置的插入，通过装置插入的工具和/或由装置或工具抓住的器官。
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公开(公告)号：US20080275297A1
公开(公告)日：2008-11-06
申请号：US11742948
申请日：2007-05-01
申请人： Gregory J. Bakos , Christie M. Cunningham , David Stefanchik , James W. Voegele , Michael J. Stokes , Christopher J. Hess , James T. Spivey , Gary L. Long , Kurt R. Bally , Ragae M. Ghabrial , Rudolph H. Nobis
发明人： Gregory J. Bakos , Christie M. Cunningham , David Stefanchik , James W. Voegele , Michael J. Stokes , Christopher J. Hess , James T. Spivey , Gary L. Long , Kurt R. Bally , Ragae M. Ghabrial , Rudolph H. Nobis
IPC分类号： A61B1/00
CPC分类号： A61B1/01 , A61B1/00147 , A61B5/6882 , A61B17/0401 , A61B2017/00292 , A61B2017/00336
摘要： Various exemplary methods and devices are provided for manipulating and/or anchoring devices and body parts during surgical procedures. In one embodiment, an anchor member is provided for anchoring a device or body part to tissue, such as an internal wall of a body cavity. The device can be, for example, an endoscopic device, an accessory channel coupled to an endoscopic device, or a support member adapted to support or manipulate an organ. The anchor member can include or form an opening through which the device can be inserted. The anchor member or device can thus be manipulated relative to the tissue to control movement of and/or provide support to the device, tools inserted through the device, and/or organs grasped by the device or tools.
摘要翻译： 提供各种示例性的方法和装置用于在外科手术过程中操纵和/或锚定装置和身体部位。 在一个实施例中，提供锚定构件用于将装置或身体部分锚定到组织，例如体腔的内壁。 该装置可以是例如内窥镜装置，耦合到内窥镜装置的附件通道或适于支撑或操纵器官的支撑构件。 锚定构件可以包括或形成开口，通过该开口可以插入装置。 锚定构件或装置因此可以相对于组织被操纵以控制装置的移动和/或提供对装置的插入，通过装置插入的工具和/或由装置或工具抓住的器官。
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